Individual provider Active NPI

Marc D. Tennant, DC

  • Chiropractor
  • Topeka, KS
National Provider Identifier
1912989500
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03517 Issued in KS
Practice address
2707 N. Topeka Ave
Topeka, KS 66617
Phone
(785) 232-8614
Fax
(785) 232-6915
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03517 KS Primary

Addresses

Primary practice location

2707 N. Topeka Ave
Topeka, KS 66617

Mailing address

PO Box 8488
Topeka, KS 66608-0488
Phone (785) 232-8614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428001112 KS Practitioner - Chiropractic 9537108543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03517KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennant Chiropractic Clinic PA Chiropractor CurrentSince Aug 9, 2011 Accepting new patients

Locations

2707 NW Topeka Blvd
Topeka, KS 66617
Phone (785) 232-8614

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1912989500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8488",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666080488",
            "telephone_number": "785-232-8614",
            "fax_number": "785-232-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 N. TOPEKA AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66617",
            "telephone_number": "785-232-8614",
            "fax_number": "785-232-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "MARC",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "03517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.